CHIP Pharmacy & Drugs
CHIP Pharmacy
FirstCare CHIP members can access prescriptions through any pharmacy that is contracted with the Navitus Health Solutions. Navitus administers prescription benefits for FirstCare CHIP Members.
Find Your Pharmacy
Find a list of in-network pharmacies by using the tool below.
Navitus Health Solutions, FirstCare's pharmacy benefits manager, has provided this tool to help you locate the closest and most convenient pharmacy for you. Click below to get started.
The
Pharmacy Directory is also available on our website.
Formulary
FirstCare uses the state mandated CHIP formulary. The formulary is available on the
Texas Medicaid Drug Vendor Drug Program website.
The Texas CHIP Formulary is available in paper form without charge. To request a copy, please call FirstCare CHIP Customer Service at
1-877-639-2447.
Prior Authorizations
To obtain a prior authorization, providers should call Navitus at 1-877-908-6023. To access drug specific prior authorization forms, please visit the
Navitus website.
Pharmacy Provider Manual
To obtain a copy of the Pharmacy Provider Manual, please visit the
Navitus website.
For pharmacy questions, contact Customer Service at 1-877-639-2447.
Pharmacy Maximum Allowable Cost (MAC) List
To obtain a copy of the MAC List, network pharmacies may visit the Navitus pharmacies website and go to the MAC Program link:
pharmacies.navitus.com
Member Forms
Prescription Mail Order Form
Prescription Mail Order Form (Spanish)
News
Psychiatrist Sought for the Drug Utilization Review Board For additional information
click here.
Bivalent Moderna COVID-19 Booster Vaccine Coverage Update For additional information
click here.
Bivalent Pfizer COVID-19 Booster Vaccine Coverage Update For additional information,
click here.
Hepatitis C Treatment Coverage and PDL Update Scheduled for Jan. 1, 2023 For additional information,
click here.
RSV Summer Season Changes Begin Sept. 1, 2022 For additional information,
click here.
Draft Specialty Drug List Available for Comment, Responses Due Sept. 22, 2022 For additional information,
click here.
July 2022 Preferred Drug List Updated For additional information,
click here.
Drug Regimen Optimization Clinical Prior Authorization to Retire Sept. 12, 2022 For additional information
click here.
Clinical Prior Authorization Assistance Chart Now Available For additional information,
click here.
Clinical Prior Authorization for Xenical No Longer Required After Sept. 12, 2022 For additional information,
click here.
Hepatitis C Treatment Coverage and PDL Update Scheduled for Sept. 1, 2022 For additional information,
click here.
July 2022 Preferred Drug List Now Available For additional information
click here.
Revised VDP Manuals Available For additional information
click here.
July 2022 Drug Utilization Review Board Meeting Summary For additional information
click here.
EXTENDED: Members Sought for the Drug Utilization Review Board until Aug. 1, 2022 For additional information
click here.
July 2022 NDC-to-HCPCS Crosswalk Now Available For additional information
click here.
Novavax COVID-19 Vaccine Coverage Update For additional information
click here.
Prior Authorization Criteria Update for Rinvoq and Cibinqo For additional information
click here.
Semi-annual Medicaid Preferred Drug List Update Coming July 28, 2022 For additional information
click here.
April 2022 Preferred Drug List Decisions Now Available For additional information
click here.
Revised Application for Texas Identification Number Now Available for Pharmacy Enrollment For additional information
click here.
HHSC Pharmacy Prior Authorization System Maintenance Scheduled for Early Morning This Wednesday For additional information
click here.
HHSC to Reject Pharmacy Claims for Inaccurate License Information Beginning September 28, 2022 For additional information
click here.
Agenda for July Drug Utilization Review Board Meeting Now Available For additional information
click here.
Revised VDP Manuals Available For additional information
click here.
Clinical Prior Authorization Criteria Updates for Dupixent, Evrysdi, and Qelbree For additional information
click here.
Pediatric Updates for Moderna & Pfizer-BioNTech COVID-19 Vaccines For additional information
click here.
Medicare Part B and D Indicators Available on Formulary Searches Beginning June 6, 2022 For additional information
click here.
EXTENDED: Members Sought for the Drug Utilization Review Board until July 1, 2022 For additional information
click here.
Members Sought for the Drug Utilization Review Board For additional information
click here.
Changes for Client Access to Mosquito Repellent Benefit Begin June 1, 2022 For additional information
click here.
Update to the Pharmacy Procedure Manual Now Available For additional information
click here.
Second COVID-19 Vaccine Booster Dose Update For additional information
click here.
Request for Pharmacies to Check That Pharmacy Licenses Are Current in PEMS For additional information
click here.
April 2022 Drug Utilization Review Board Meeting Summary For additional information
click here.
Revision to Makena Authorization Request Form Scheduled for June 10, 2022 For additional information
click here.
January 2022 Preferred Drug List Decisions Now Available For additional information
click here.
Update to the Pharmacy Procedure Manual Now Available For additional information
click here.
March 2022 Specialty Drug List Available For additional information
click here.
Agenda for April Drug Utilization Review Board Meeting Now Available For additional information
click here.
Pharmacy Education Reminder For additional information
click here.
Changes for Client Access to Mosquito Repellent Benefit Begin June 1, 2022 For additional information
click here.
Draft Specialty Drug List Available for Comment For additional information .
Updates to Phosphate Binder Prior Authorization Criteria Scheduled for April 5, 2022 For additional information
click here.
Cytokine and CAM Antagonists Criteria Updates Scheduled for April 5, 2022 For additional information
click here.
Oxbryta Prior Authorization Criteria Updates Scheduled for April 5, 2022 For additional information
click here.
January 2022 Drug Utilization Review Board Meeting Summary For additional information
click here.
Clinical Prior Authorization Assistance Chart Now Available For additional information
click here.
2021-22 Respiratory Syncytial Virus (RSV) Season Ends February 1, 2022 For additional information
click here.
January 2022 Preferred Drug List Now Available For additional information
click here.
Temporary Change in PDL Status for Tetracyclines Drug Class, Effective January 11, 2022 For additional information
click here.
Pfizer-BioNTech COVID-19 Booster Update For additional information
click here.
November 2021 Preferred Drug List Decisions Now Available For additional information
click here.
Pfizer-BioNTech COVID-19 Vaccine Booster Dose Age Change and New Formulation For additional information
click here.
Agenda for January Drug Utilization Review Board Meeting Now Available For additional information
click here.
Managed Care Resources Update For additional information
click here.
COVID-19 At-home Test Kits Available as a Pharmacy Benefit For additional information
click here.
Pfizer Oral COVID-19 Drug, Paxlovid, Added to Formulary For additional information
click here.
Medicaid Pharmacy Benefit Accredited Course, Quick Courses Available For additional information
click here.
You Can Report Drug Shortages to HHSC For additional information
click here.
Merck Oral COVID-19 drug, Molnupiravir, Added to Formulary For additional information
click here.
Change in Age Limit for Pharmacist-Administered Influenza Vaccines For additional information
click here.
Kidney Health Care Adds New Drugs to Formulary For additional information
click here.
COVID-19 Vaccine Booster Update For additional information
click here.
Semi-annual Medicaid Preferred Drug List Update Coming January 27, 2022 For additional information
click here.
Draft of Medication Therapy Management Policy Available for Comment For additional information .
Stimate Nasal Spray National Drug Shortage For additional information
click here.
Pharmacy Services Change of Ownership (CHOW) Interim Process For additional information
click here.
Promethazine Clinical Prior Authorization Criteria Updates Scheduled for December 7, 2021 For additional information
click here.
Dupixent Clinical Prior Authorization Criteria Update Scheduled for January 4, 2022 For additional information
click here.
Clinical Prior Authorization Assistance Chart Now Available For additional information
click here.
November 2021 Drug Utilization Review Board Meeting Summary For additional information
click here.
July 2021 Preferred Drug List Revised December 3, 2021 For additional information
click here.
Removal of Specialist Requirement from Clinical Prior Authorization Criteria Scheduled for January 3, 2022 For additional information
click here.
Agenda for November Drug Utilization Review Board Meeting Now Available For additional information
click here.
Order and Administration of Selected COVID-19 Monoclonal Antibody Therapeutics Reimbursable Through Medicaid Medical Claims System For additional information
click here.
COVID-19 Vaccine Coverage Update: Comirnaty and Pfizer Age Change For additional information
click here.
Removal of Specialist Requirement from Clinical Prior Authorization Criteria Scheduled for January 3, 2021 For additional information
click here.
Coverage of COVID-19 Booster Doses of Moderna and Johnson & Johnson Vaccines For additional information
click here.
October 2021 NDC-to-HCPCS Crosswalk Now Available For additional information
click here.
Updates to Medicaid Preferred Drug List Scheduled for November 15, 2021 For additional information
click here.
Pharmacy Submittal of COVID-19 Vaccine Additional, Booster Doses For additional information
click here.
Nucala Clinical Prior Authorization Update Scheduled for December 14, 2021 For additional information
click here.
Repatha (evolocumab) Prior Authorization Update Scheduled for December 6, 2021 For additional information
click here.
Hepatitis C Drug Rebate Program Procurement Information Now Available For additional information
click here.
HHSC Updates Respiratory Syncytial Virus (RSV) Season Schedule For additional information
click here.
HHSC Issues Stromectol (Ivermectin) Guidance For additional information
click here.
Temporary Change in Texas Pharmacy Prior Authorization Call Center Phone Number For additional information
click here.
Alinia Clinical Prior Authorization Criteria Revision Effective November 23, 2021 For additional information
click here.
Updating Pharmacy Claim Systems for COVID-19 Vaccine Additional Doses For additional information
click here.
2021-22 RSV Assessment and Synagis Authorization For additional information
click here.
Changes to Hepatitis C Prior Authorization Criteria Begin September 1, 2021 For additional information
click here.
Duplicate Therapy Clinical Prior Authorization Criteria Revision Begins October 19, 2021 For additional information
click here.
Respiratory Syncytial Virus and Synagis Authorization During Summer and Winter 2021-2022 For additional information
click here.
July 2021 Drug Utilization Review Board Meeting Summary For additional information
click here.
Atypical Respiratory Syncytial Virus (RSV) Season Advisory For additional information
click here.
April 2021 Preferred Drug List Decisions Now Available For additional information
click here.
July 2021 Preferred Drug List Now Available For additional information
click here.
Changes to Hepatitis C Prior Authorization Criteria Begin September 1, 2021 For additional information
click here.
Trikafta Age Expansion in Cystic Fibrosis Agents Clinical Prior Authorization Begins September 1, 2021 For additional information
click here.
Nucala Clinical Prior Authorization Criteria Update Begins July 12, 2021 For additional information
click here.
Semi-annual Medicaid Preferred Drug List Update Coming July 29, 2021 For additional information
click here.
HHSC to Reopen RSV Season in Select Regions on June 21, 2021 For additional information
click here.
Medicaid Allows Pfizer BioNTech COVID-19 Vaccine for Emergency Use in Adolescents For additional information
click here.
HHSC to Resume Quarterly Specialty Drug List in July 2021 For additional information
click here.
COVID-19 Testing in Pharmacy Reimbursable Through Medicaid Medical Claims System For additional information
click here.
Clinical Prior Authorization Assistance Chart Now Available For additional information
click here.
April 2021 Preferred Drug List Recommendations Now Available For additional information
click here.
COVID-19 Vaccine Administration Rate Change Effective April 1, 2021 For additional information
click here.
January 2021 Preferred Drug List Decisions Now Available For additional information
click here.
Enzymes Clinical Prior Authorization Criteria Revisions Effective June 30, 2021 For additional information
click here.
Frequently Asked Questions about the Medicaid Standing Order for Mosquito Repellent For additional information
click here.
Epidiolex Prior Authorization Revision Scheduled for May 11, 2021 For additional information
click here.
Medicaid Adds Johnson & Johnson COVID-19 Vaccine to Formulary For additional information
click here.
Revised Hepatitis C Drug Prior Authorization Form 1342 For additional information
click here.
January 2021 Preferred Drug List Revised March 5, 2021 For additional information
click here.
Revisions to Cytokine and CAM Antagonists Prior Authorization Criteria Set for May 4, 2021 For additional information
click here.
RSV Season Extended for Counties in Southeast Texas and Gulf Coast Areas For additional information
click here.
Monoclonal Antibody for Asthma Prior Authorization Updates Set for April 6, 2021 For additional information
click here.
Revised Hepatitis C Drug Prior Authorization Forms Now Available For additional information
click here.
Clinical Prior Authorization Updates for Cystic Fibrosis Agents For additional information
click here.
Preferred Drug List Criteria Exception for Macrolides Changes March 15 For additional information
click here.
Renewed Texas Standing Order for Mosquito Repellent Benefit Available For additional information
click here.
Clinical Prior Authorization Assistance Chart Now Available For additional information
click here.
January 2021 Preferred Drug List Now Available For additional information
click here.
Desmopressin Clinical Prior Authorization Revision Begins March 15, 2021 For additional information
click here.
COVID-19 Vaccine NDC Update For additional information
click here.
Dupixent Clinical Prior Authorization Criteria Revision Effective March 15, 2021 For additional information
click here.
Change to Thiazolidinediones Clinical Prior Authorization Begins February 4, 2021 For additional information
click here.
Medicaid Adds Moderna COVID-19 Vaccine to Formulary For additional information
click here.
Medicaid Adds Pfizer BioNTech COVID-19 Vaccine to Formulary For additional information
click here.
July 2020 Preferred Drug List Revised Dec. 16 For additional information
click here.
Semi-annual Medicaid Preferred Drug List Update Coming Jan. 28, 2021 Preferred drugs are medications recommended by the Texas Drug Utilization Review Board. The Texas Preferred Drug List is published every January and July. For additional information click here.